Organization
ANTELOPE VALLEY HEALTH CARE DISTRICT
Active
Parent organization
ANTELOPE VALLEY HEALTH CARE DISTRICT
Other names
Antelope Valley Medical Center Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE VALLEY HEALTH CARE DISTRICT
Authorized official
MR. EDWARD MIRZABEGIAN (CHIEF EXECUTIVE OFFICER)
(661) 949-5512
Entity
Organization
Contact information
Practice address
1600 W AVENUE J, INFUSION PHARMACY, LANCASTER, CA 93534
(661) 949-5000
Mailing address
1600 W AVENUE J, INFUSION PHARMACY, LANCASTER, CA 93534
(661) 949-5000
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/10/2022
Last updated
08/07/2023
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